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AI IN RCM Denials Increase Phenomenon

Why Are AI In RCM   Denials Increasing?
Why Are AI In RCM Denials Increasing?

According to Fortune Business Insights, the global AI Market was valued at $29 billion in 2024. The USD AI market is expected to grow from $39.25 billion in 2025 to $504.17 billion in 2032, yet, despite all of the AI-driven technological advancements in Revenue Cycle Management (RCM), hospitals had more than $260 billion of initial claims denied in 2024, and over $20-plus billion was spent fighting denials.


Why aren't these AI-powered tools driving denials down?


We validate AI, so healthcare leaders can answer these questions and use AI-driven tools with confidence. A rigorous AI in RCM Audit is launched to identify potential algorithmic drift that may be causing your claims to be denied and affecting return on investment (ROI).


Our methodology combines performance testing with real-world sample validation and governance checks to reduce uncertainty and provide solutions for healthcare leaders and revenue cycle management (RCM) decision-makers.


Ready to replace guesswork with evidence-based audit trails?


Learn how our independent validation supports quality-driven procurement, compliance, and measurable financial outcomes: https://wix.to/2FeWUJz #HealthIT #AIGovernance #RevenueCycleManagement







About the Author

Corliss Collins, BSHIM, RHIT, CRCR, CCA, CAIMC, CAIP, CSM, CBCS, CPDC, serves as the Principal and Managing AI Consultant of P3 Quality, a Healthcare Tech and Consulting Company. Ms. Collins stays very busy working on AI projects in RCM Epic and Cerner Research. She also serves as a subject matter expert and a member of the Volunteer Education Committee for the American Institute of Healthcare Compliance (AIHC). She is a Member of the Professional Women's Network Board (PWN).

 

Disclosures/Disclaimers:

AI In RCM | Denials Increasing Phenomenon. This analysis draws on research, trends, and innovations in the AI in Revenue Cycle Management (RCM) industry. AI generates some of the blog content and details. Reasonable efforts have been made to ensure the validity of all materials and the consequences of their use. If any copyrighted material has not been appropriately acknowledged, use the contact page to notify us so we can make the necessary updates.





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